<html>
<head>

</head>

<body jwcid="$content$">
<div jwcid="@ManagementBorder">
<div>Enter the data below then click "Finished"</div>
<form jwcid="agentForm" method="post" action="#" name="AgentCreate">
<table border="0" cellpadding="2" cellspacing="2">
	<tbody>
		<tr>
			<th class="fieldLabel">First Name</th>
			<td class="field"><input jwcid="firstName" /></td>
		</tr>
		<tr>
			<th class="fieldLabel">Last Name</th>
			<td class="field"><input jwcid="lastName" /></td>
		</tr>
		<tr>
			<th class="fieldLabel">Home Phone</th>
			<td class="field"><input jwcid="homePhone" /></td>
		</tr>
		<tr>
			<th class="fieldLabel">Mobile Phone</th>
			<td class="field"><input jwcid="mobilePhone" /></td>
		</tr>
		<tr>
			<th class="fieldLabel">Office Phone</th>
			<td class="field"><input jwcid="officePhone" /></td>
		</tr>
		<tr>
			<th class="fieldLabel">Email</th>
			<td class="field"><textarea cols="60" rows="4" jwcid="email" />
 				      </td>
		</tr>
		<tr>
			<th class="fieldLabel">Bio</th>
			<td class="field"><textarea cols="60" rows="4" jwcid="bio"/ >
 				      </td>
		</tr>
		<tr>
			<th class="fieldLabel">Photo</th>
			<td class="field"><input jwcid="photoUpload" /></td>
		</tr>
	</tbody>
</table>
<button name="submit" type="submit">Finished</button>
<button name="reset" type="reset">Reset</button>
</form>
<a href="#" jwcid="cancel">Cancel</a></div>
</body>
</html>
